Pregnancy and delivery in patients with fontan circulation: A case report and review of obstetric management

Obstetrical and Gynecological Survey

Volumn 64, Issue 9, 2009, Pages 607-614

  Nitsche, Joshua F ^a   Phillips, Sabrina D ^b   Rose, Carl H ^a   Brost, Brian C ^a   Watson, William J ^b  

^a Department of Obstetrics and Gynecology ^*

^b MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BETAMETHASONE; CHOLINESTERASE; HEPARIN; HYDROCHLOROTHIAZIDE; LEVONORGESTREL; SUXAMETHONIUM;

ADULT; ANTICOAGULANT THERAPY; APGAR SCORE; CASE REPORT; CEPHALIC VEIN; CERCLAGE; CESAREAN SECTION; CHORIOAMNIONITIS; CIRCULATION; CLIMBING; CONTRACEPTION; DAILY LIFE ACTIVITY; DEEP VEIN THROMBOSIS; DIURESIS; DYSPNEA; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; ENZYME ACTIVITY; EXERCISE; EXTUBATION; FEMALE; FETUS ECHOGRAPHY; FETUS LUNG MATURATION; FIRST TRIMESTER PREGNANCY; FONTAN PROCEDURE; FOOT EDEMA; FUNCTIONAL STATUS; GENERAL ANESTHESIA; GESTATIONAL AGE; GLENN SHUNT; HEART ATRIUM FLUTTER; HEART AUSCULTATION; HEART FUNCTION; HEART LEFT VENTRICLE EJECTION FRACTION; HEART RIGHT ATRIUM; HUMAN; HYPOPLASIA; INTENSIVE CARE UNIT; INTRAPARTUM CARE; INTRAUTERINE GROWTH RETARDATION; INTUBATION; JUGULAR VEIN; LOW DRUG DOSE; LUNG BLOOD VESSEL; MATERNAL CARE; PARALYSIS; POSTPARTUM HEMORRHAGE; PREGNANCY COMPLICATION; PREGNANT WOMAN; PREMATURE FETUS MEMBRANE RUPTURE; PREMATURE LABOR; PUERPERIUM; REVIEW; SECOND TRIMESTER PREGNANCY; SINUS RHYTHM; SURGICAL RISK; SYSTOLIC HEART MURMUR; THIRD TRIMESTER PREGNANCY; TRICUSPID VALVE ATRESIA; VENOUS CONGESTION; CONGENITAL HEART MALFORMATION; MALE; NEWBORN; PATHOPHYSIOLOGY; PREGNANCY; PREGNANCY OUTCOME;

CESAREAN SECTION; FEMALE; FONTAN PROCEDURE; GESTATIONAL AGE; HEART DEFECTS, CONGENITAL; HUMANS; INFANT, NEWBORN; MALE; OBSTETRIC LABOR, PREMATURE; PREGNANCY; PREGNANCY COMPLICATIONS, CARDIOVASCULAR; PREGNANCY OUTCOME;

EID: 70350741390     PISSN: 00297828     EISSN: 15339866     Source Type: Journal    
DOI: 10.1097/OGX.0b013e3181b279d6     Document Type: Review

References (34)

1. Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax 1971;26:240-248.
2. Fyfe DA, Gillette PC, Jones JS, et al. Successful pregnancy following modified Fontan procedure in a patient with tricuspid atresia and recurrent atrial flutter. Am Heart J 1989;117: 1387-1388.
3. Fulton D. Congenital heart disease in children and adolescents. In: Fuster V, O'Rourke RA, Walsh RA, et al, eds. Hurst's The Heart. Columbus, OH: McGraw Hill, 2007.
4. Driscoll DJ, Offord KP, Feldt RH, et al. Five- to fifteen-year follow-up after Fontan operation. Circulation 1992;85:469-496.
5. Drenthen W, Piper PJ, Roos-Hesselink JW, et al. Pregnancy and delivery in women after Fontan palliation [comment]. Heart 2006;92:1290-1294. (Pubitemid 44298884)
6. Buckland R, Pickett JA. Pregnancy and the univentricular heart: case report and literature review. Int J Obstet Anesth 2000;9:55-63.
7. Canobbio MM, Mair DD, van der Velde M, et al. Pregnancy outcomes after the Fontan repair. J Am Coll Cardiol 1996;28: 763-767.
8. Carmona F, Martinez S, Periz A, et al. Pregnancy after surgical correction of tricuspid atresia. Acta Obstet Gynecol Scand 1993;72:498-499.
9. Carp H, Jayaram A, Vadhera R, et al. Epidural anesthesia for cesarean delivery and vaginal birth after maternal Fontan repair: report of two cases. Anesth Analg 1994;78:1190-1192. (Pubitemid 24164376)
10. Cohen AM, Mulvein J. Obstetric anaesthetic management in a patient with the Fontan circulation. Br J Anaesth 1994; 73:252-255. (Pubitemid 24235452)
11. Eid L, Ginosar Y, Elchalal U, et al. Caesarean section following the Fontan procedure: two different deliveries and different anaesthetic choices in the same patient. Anaesthesia 2005; 60:1137-1140. (Pubitemid 41644905)
12. Girod DA, Fontan F, Deville C, et al. Long-term results after the Fontan operation for tricuspid atresia. Circulation 1987; 75:605-610. (Pubitemid 17026052)
13. Grunwald Z, Friedman L, Hirsch R, et al. Anesthetic management of labor and postpartum bleeding in a patient with Fontan physiology. Isr J Med Sci 1997;33:749-751. (Pubitemid 28014304)
14. Hess DB, Hess LW, Heath BJ, et al. Pregnancy after Fontan repair of tricuspid atresia. South Med J 1991;84:532-534.
15. Hoare JV, Radford D. Pregnancy after fontan repair of complex congenital heart disease. Aust NZ J Obstet Gynaecol 2001;41:464-468. (Pubitemid 33100694)
16. Ioscovich A, Briskin A, Fadeev A, et al. Emergency cesarean section in a patient with Fontan circulation using an indwelling epidural catheter. J Clin Anesth 2006;18:631-634. (Pubitemid 44908946)
17. Ito M, Takagi M, Sugimoto S, et al. Pregnancy after undergoing the Fontan procedure for a double outlet right ventricle: report of a case. Surg Today 2002;32:63-65. (Pubitemid 34119049)
18. Lao TT, Sermer M, Colman JM. Pregnancy after the fontan procedure for tricuspid atresia: a case report. J Reprod Med 1996;41:287-290. (Pubitemid 26123691)
19. Trojnarska O, Markwitz W, Katarzynski S, et al. Pregnancy and delivery in patient after Fontan's operation due to common ventricle of left ventricular morphology. Int J Cardiol 2007;114:E63-E64. (Pubitemid 44791518)
20. Whittemore R, Hobbins JC, Engle MA. Pregnancy and its outcome in women with and without surgical treatment of congenital heart disease. Am J Cardiol 1982;50:641-651. (Pubitemid 13177401)
21. Presbitero P, Somerville J, Stone S, et al. Pregnancy in cyanotic congenital heart disease: outcome of mother and fetus. Circulation 1994;89:2673-2676.
22. Siu SC, Sermer M, Colman JM, et al. Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 2001;104:515-521.
23. Siu SC, Sermer M, Harrison DA, et al. Risk and predictors for pregnancy-related complications in women with heart disease. Circulation 1997;96:2789-2794. (Pubitemid 27500072)
24. Effect of corticosteroids for fetal maturation on perinatal outcomes. NIH consensus development panel on the effect of corticosteroids for fetal maturation on perinatal outcomes [comment]. JAMA 1995;273:413-418.
25. Crowley PA. Antenatal corticosteroid therapy: a meta-analysis of the randomized trials, 1972 to 1994 [comment]. Am J Obstet Gynecol 1995;173:322-335.
26. Garite TJ, Kurtzman J, Maurel K, et al. Impact of a 'rescue course' of antenatal corticosteroids: a multicenter randomized placebo-controlled trial. Am J Obstet Gynecol 2009;200: 248.e1-e9.
27. Antenatal corticosteroids revisited: repeat courses. NIH Consens Statement 2000;17:1-18.
28. Bull K. The Fontan procedure: lessons from the past. Heart 1998;79:213-214.
29. Monagle P, Cochrane S, McCrindle B, et al. Thromboembolic complications after fontan procedures-the role of prophylactic anticoagulation [comment]. J Thorac Cardiovasc Surg 1998;115:493-498. (Pubitemid 28158063)
30. Mair DD, Puga FJ, Danielson GK. Late functional status of survivors of the Fontan procedure performed during the 1970s. Circulation 1992;86(suppl 5):II106-II109.
31. Barbour LA. Current concepts of anticoagulant therapy in pregnancy. Obstet Gynecol Clin North Am 1997;24:499-521. (Pubitemid 27333101)
32. Easterling TR, Stout K. Heart disease. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA: Churchill Livingstone/Elsevier, 2007:1391.
33. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003;28:172-197. (Pubitemid 36618311)
34. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc 2008;(suppl 139):3S-24S.